MEDICARE: DR. ALBERTO ANTONIO RULLAN DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	N004908-1	NY
2	213ES0103X	Foot & Ankle Surgery Podiatrist	PO3814	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1400062	OTHER	NY	GHI
2	PO-4908-1	OTHER	NY	WORKMAN'S COMP
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	P52221	OTHER	NY	BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number	:	1275513541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALBERTO ANTONIO RULLAN DPM

Provider Business Mailing Address
First Line	:	1536 N JEFFERSON ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32209-6525
Country	:	US
Telephone Number	:	904-756-1394
Fax Number	:

Provider Business Practice Location Address
First Line	:	1536 N JEFFERSON ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32209-6525
Country	:	US
Telephone Number	:	904-756-1394
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	12/06/2024

Similar Medicare Providers

1508860370 — PATRICK M.J. HUTTON M.D.
Practice Location Address:

1536 N JEFFERSON ST
JACKSONVILLE, FL
32209-6525

Practice Phone: 904-475-5800
Practice Fax:

1811980667 — DR. JOSEPH BRIAN MICHAEL DMD
Practice Location Address:

1536 N JEFFERSON ST
JACKSONVILLE, FL
32209-6525

Practice Phone: 904-475-5800
Practice Fax:

1427039650 — MR. WILLIAM BRADBURY WALKER PA-C
Practice Location Address:

1536 N JEFFERSON ST
JACKSONVILLE, FL
32209-6525

Practice Phone: 904-475-6319
Practice Fax: 904-475-5809

1598740110 — DR. DAVID ALEXANDER COLL M.D.
Practice Location Address:

1536 N JEFFERSON ST , DEPT. OF VA - JACKSONVILLE OUTPATIENT CLINIC
JACKSONVILLE, FL
32209-6525

Practice Phone: 904-475-5800
Practice Fax: 904-232-2381

1164409967 — DR. SCOTT A. MAGNES M.D.
Practice Location Address:

1536 N JEFFERSON ST
JACKSONVILLE, FL
32209-6525

Practice Phone: 904-475-5800
Practice Fax:

1033185475 — DR. MARTHA B WOMACK PHD
Practice Location Address:

1536 N JEFFERSON ST , JACKSONVILLE OUTPATIENT CLINIC
JACKSONVILLE, FL
32209-6525

Practice Phone: 912-447-5660
Practice Fax:

Directions to “ DR. ALBERTO ANTONIO RULLAN DPM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.